**UNC is no longer enrolling for this study**
Welcome to CBT4BN!
Cognitive Behavioral Therapy for Bulimia Nervosa (CBT4BN) is a research study funded by the National Institute of Mental Health, and is a collaborative project between the , the University of Pittsburgh Medical Center with technical support from the University of Heidelberg's Center for Psychotherapy Research. CBT4BN compares two types of Cognitive Behavioral Therapy (CBT), which is the evidence-based treatment of choice for bulimia nervosa: face-to-face CBT; and internet-based CBT, delivered through . Participation in CBT4BN takes place over a five-month time period. Participants return after initial treatment for 3, 6, and 12 month follow-ups.
What You Can Expect From CBT4BN
All treatment is conducted by trained, licensed professionals from either the UNC Center of Excellence for Eating Disorders (in Chapel Hill) or the Western Psychiatric Institute (in Pittsburgh) who are experienced in the treatment of eating disorders.
All participants will complete six assessments during which they will answer questionnaires and be interviewed by a clinician.
During their participation in CBT4BN participants will be randomly assigned (like a coin flip) to receive 20 sessions of either:
- Face-to-face group therapy
- Internet-delivered group therapy
In addition, participants will also receive comprehensive treatment for bulimia nervosa at no additional cost, including:
- Psychiatric consultations
- Nutrition counseling
Is CBT4BN for You?
The CBT4BN program might be appropriate for you if:
- You have bulimia nervosa;
- You are 18 years of age or older;
- You have internet access at home;
- You speak and read English.
Please contact us for additional information if you meet all of these conditions and are interested in participating in CBT4BN.
The CBT4BN Team
Cynthia M. Bulik, PhD, FAED is a Distinguished Professor of Eating Disorders in the Department of Psychiatry, Professor of Nutrition in the School of Public Health and the Director of the UNC Center of Excellence for Eating Disorders . Dr. Bulik’s research includes genetic epidemiology of eating disorders and body weight regulation (family, twin, and molecular genetic studies). She is studying the impact of maternal disordered eating on fetal growth and child development in a cohort of 100,000 births in Norway and is involved with developing novel technology-assisted interventions for obesity and eating disorders. Dr. Bulik is the Director of the first federally funded post-doctoral training program in eating disorders. She is the author of Eating Disorders: Detection and Treatment (Dunmore), Runaway Eating (Rodale), and an upcoming title, Crave: Why You Binge Eat and How to Stop (Bloomsbury). She holds the first endowed professorship in eating disorders in the United States. She is a past president of the Academy for Eating Disorders, current Vice-President of the Eating Disorders Coalition, and Associate Editor of the International Journal of Eating Disorders.
Marsha D. Marcus, PhD is Professor of Psychiatry and Psychology at the University of Pittsburgh, and Chief of the Eating Disorders Program at Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center. Dr. Marcus' research has focused on the relations among disordered eating, mood and weight, and health-related behavior change in children and adults. She currently is the principal investigator on a study designed to develop and evaluate a new psychotherapeutic intervention for anorexia nervosa and as well as the Pittsburgh site principal investigator of the CBT4BN study. Dr. Marcus is on the Editorial Board of the International Journal of Eating Disorders and is a standing member of an NIH Study Section. She is Associate Director of the Pittsburgh Obesity Nutrition Research Center, and is a Past President of the Academy for Eating Disorders and the Eating Disorders Research Society.
Stephanie Zerwas, PhD is an Assistant Professor in the UNC Center of Excellence for Eating Disorders of the Department of Psychiatry at the University of North Carolina at Chapel Hill. Dr. Zerwas received her PhD in clinical and developmental psychology from the University of Pittsburgh and completed her clinical internship at the Eating Disorders Treatment and Research Program at the University of California San Diego. Her research focuses on social cognition, the uniquely human capacity to reflect on thoughts and emotions. She conducts individual, group and family therapy and is particularly interested in how people process social information in online therapeutic contexts. Her background in developmental psychology inspires her exploration of how disorders affect all members of the family. In particular, she hopes to examine how eating disorders affect parent-child communication and relationship. She is interested in investigating how environmental experience interacts with the genetic predisposition for eating disorders across the developmental life span.
Michele D. Levine, PhD is an Assistant Professor of Psychiatry and Psychology at Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center. She received her Ph.D. in clinical and health psychology from the University of Pittsburgh in 1999, and joined the faculty at the University of Pittsburgh Medical Center in 2001. Dr. Levine is a licensed clinical psychologist and her research focuses on relations among mood, weight, and women's health behaviors. Recent research projects, supported by grants from the National Institutes of Health, focus on the role that mood and weight concerns play in smoking relapse during the postpartum period, treatment to prevent relapse among postpartum women smokers, the prevention of weight gain among young women, and the treatment of pediatric obesity.
Jennifer Shapiro, PhD
Dr. Jennifer Shapiro is an Assistant Professor and licensed clinical psychologist in the Eating Disorders Program of the Department of Psychiatry at the University of North Carolina at Chapel Hill. She received her PhD in clinical psychology from the University at Albany, State University of New York in 2004. Dr. Shapiro conducts both individual and group treatment. She developed the 20-Week UNC Behavioral Weight Control Program. Her research focuses on both eating disorders and obesity. She studies the use of information technology such as text messaging and web-based programs for the treatment of disordered eating in children and adults. She has authored several scientific papers, annually presents at international conferences, and is a member of the Academy for Eating Disorders (AED) and the Eating Disorders Research Society. Dr. Shapiro is the co-founder and co-chair of the Information Technology for the Treatment of Eating Disorders Special Interest Group of the AED.
Dr. phil. Dipl.-Math. Hans Kordy
Dr. Kordy is the Director of the Center for Psychotherapy Research at the University of Heidelberg (Forschungsstelle für Psychotherapie). His expertise is in mathematical modeling of psychotherapy outcome and e-health. Dr. Kordy’s team is providing technical support for the CBT4BN program.
Benjamin Zimmer specializes in web-based applications of E-health interventions. He is serving as the primary liaison between UNC and the University of Heidelberg Center for Psychotherapy Research.
Todd Barnes is the primary programmer of CBT4BN.